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文章根据2011年全国新农合15个监测点的15所县人民医院的数据,通过比较分析参加新农合的老年人和普通人群之间、新农合老年患者与城镇职工医保和城镇居民医保老年患者之间在7个常见住院病种方面的住院人次、住院时间及费用、住院补偿等方面的差异,发现:参合人群中,与普通人群相比,老年人的住院时间长,住院费用高,但获得的住院补偿并不存在优势。三种医保老年患者中,虽然参合老年患者的住院费用相对较低,但获得的住院补偿比例也远低于城镇职工医保老年患者。短期看,建议通过提高新农合筹资水平、加大农村医疗救助等措施,以提高农村地区老年人在新农合中的受益水平;长期看,应建立老年医疗保障制度,以切实降低老年人的就医负担。
According to the data of 15 county people’s hospitals in 15 monitoring stations of NRCMS in 2011, the paper analyzes the relationship between NRCMS elderly patients and urban workers’ health insurance and urban residents through comparative analysis between the elderly and the general population participating in NCMS, The differences in inpatients, hospitalization time and expenses, and hospitalization compensation among 7 common inpatient types among elderly patients showed that the elderly patients had longer hospital stay and higher hospitalization expenses than the general population in the participating population However, there is no advantage in obtaining hospital reimbursement. Of the three types of Medicare and Elderly Patients, although the hospitalization costs of participating elderly patients are relatively low, the proportion of inpatient compensation received is far lower than that of urban workers and elderly Medicare patients. In the short term, it is suggested that measures such as improving the funding of NCMS and increasing medical aid in rural areas should be taken so as to raise the level of benefits for the elderly in rural areas. In the long run, an elderly medical insurance system should be set up to effectively reduce the elderly The medical burden.